Іnnovation technologies in the gut organs surgery
Objective. To improve the surgical treatment results in patients, suffering the gut organs diseases, due to its sophistication and elaboration of modern innovation technologies. Маterials and methods. In the work the author’s concept and results of the modern innovative technologies while perform...
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| Format: | Article |
| Language: | English |
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Liga-Inform ltd.
2018-07-01
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| Series: | Клінічна хірургія |
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| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/434 |
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| author | V. М. Меlnyk Ye. М. Shepetko І. І. Polovnikov О. І. Poyda |
| author_facet | V. М. Меlnyk Ye. М. Shepetko І. І. Polovnikov О. І. Poyda |
| author_sort | V. М. Меlnyk |
| collection | DOAJ |
| description | Objective. To improve the surgical treatment results in patients, suffering the gut organs diseases, due to its sophistication and elaboration of modern innovation technologies.
Маterials and methods. In the work the author’s concept and results of the modern innovative technologies while performing surgery on the gut organs for ulcerative hemorrhage, complicated postbulbar, parapapillary ulcers, gastric cancer and polyps, colorectal cancer, ulcerative colitis, Crohn’s disease of large bowel, familial adenomatous polyposis are adduced. Endoscopic operations, methods of atraumatic dissection of tissues, new restoration and reconstructive-restorative operations, using modern staplers for anastomoses formation, laparoscopic operations were applied. The innovative surgical technologies were applied in 2428 patients.
Results. Using methods of endoscopic hemostasis a definitive arrest of ulcerative hemorrhage was achieved in 91.1% patients. Еndoscopic polypectomy for the large bowel polyps of significant size and for «spreading» polyps were performed in 90.5% patients. Occurrence of postoperative hemorrhage was reduced to 0.74%, а large bowel wall perforation was not observed. In patients with complicated postbulbar and parapapillary ulcers the postoperative morbidity was reduced tо 24.7%, postoperative lethality - tо 7.6%. More favorable functional results were obtained after gastroplastic operations. Postoperative complications have occurred in 15.8% patients, 1.7% patients died.
Conclusion. Modern innovation surgical technologies, including endoscopic, staplers for anastomoses formation, methods of atraumatic dissection of tissues, reconstructive-restorative, laparoscopic surgical interventions are sufficiently effective in the treatment of patients, suffering diseases of the gut organs. Application of modern innovation technologies in the gut organs surgery makes possible to eliminate pathological process, its complications, to reduce significantly the surgical interventions traumaticity, time of their performance, quantity of postoperative complications, lethality, and to improve functional results and quality of life in the patients operated. |
| format | Article |
| id | doaj-art-60e1ebcf6c984d7caf95e3e8b64791b5 |
| institution | Matheson Library |
| issn | 0023-2130 2522-1396 |
| language | English |
| publishDate | 2018-07-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj-art-60e1ebcf6c984d7caf95e3e8b64791b52025-08-02T09:18:45ZengLiga-Inform ltd.Клінічна хірургія0023-21302522-13962018-07-018565910.26779/2522-1396.2018.06.05434Іnnovation technologies in the gut organs surgeryV. М. Меlnyk0Ye. М. Shepetko1І. І. PolovnikovО. І. Poyda2Bogomolets National Medical University, KyivBogomolets National Medical University, KyivBogomolets National Medical University, KyivObjective. To improve the surgical treatment results in patients, suffering the gut organs diseases, due to its sophistication and elaboration of modern innovation technologies. Маterials and methods. In the work the author’s concept and results of the modern innovative technologies while performing surgery on the gut organs for ulcerative hemorrhage, complicated postbulbar, parapapillary ulcers, gastric cancer and polyps, colorectal cancer, ulcerative colitis, Crohn’s disease of large bowel, familial adenomatous polyposis are adduced. Endoscopic operations, methods of atraumatic dissection of tissues, new restoration and reconstructive-restorative operations, using modern staplers for anastomoses formation, laparoscopic operations were applied. The innovative surgical technologies were applied in 2428 patients. Results. Using methods of endoscopic hemostasis a definitive arrest of ulcerative hemorrhage was achieved in 91.1% patients. Еndoscopic polypectomy for the large bowel polyps of significant size and for «spreading» polyps were performed in 90.5% patients. Occurrence of postoperative hemorrhage was reduced to 0.74%, а large bowel wall perforation was not observed. In patients with complicated postbulbar and parapapillary ulcers the postoperative morbidity was reduced tо 24.7%, postoperative lethality - tо 7.6%. More favorable functional results were obtained after gastroplastic operations. Postoperative complications have occurred in 15.8% patients, 1.7% patients died. Conclusion. Modern innovation surgical technologies, including endoscopic, staplers for anastomoses formation, methods of atraumatic dissection of tissues, reconstructive-restorative, laparoscopic surgical interventions are sufficiently effective in the treatment of patients, suffering diseases of the gut organs. Application of modern innovation technologies in the gut organs surgery makes possible to eliminate pathological process, its complications, to reduce significantly the surgical interventions traumaticity, time of their performance, quantity of postoperative complications, lethality, and to improve functional results and quality of life in the patients operated.https://hirurgiya.com.ua/index.php/journal/article/view/434еndoscopic operations; methods of atraumatic dissection of tissues; restoration operations; reconstructive-restoration operations; gut. |
| spellingShingle | V. М. Меlnyk Ye. М. Shepetko І. І. Polovnikov О. І. Poyda Іnnovation technologies in the gut organs surgery Клінічна хірургія еndoscopic operations; methods of atraumatic dissection of tissues; restoration operations; reconstructive-restoration operations; gut. |
| title | Іnnovation technologies in the gut organs surgery |
| title_full | Іnnovation technologies in the gut organs surgery |
| title_fullStr | Іnnovation technologies in the gut organs surgery |
| title_full_unstemmed | Іnnovation technologies in the gut organs surgery |
| title_short | Іnnovation technologies in the gut organs surgery |
| title_sort | іnnovation technologies in the gut organs surgery |
| topic | еndoscopic operations; methods of atraumatic dissection of tissues; restoration operations; reconstructive-restoration operations; gut. |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/434 |
| work_keys_str_mv | AT vmmelnyk ínnovationtechnologiesinthegutorganssurgery AT yemshepetko ínnovationtechnologiesinthegutorganssurgery AT íípolovnikov ínnovationtechnologiesinthegutorganssurgery AT oípoyda ínnovationtechnologiesinthegutorganssurgery |